Management of patients suspected for non-ST elevation-acute coronary syndrome in the prehospital phase

Rudolf T Tolsma*, Enrico R de Koning, Marion J Fokkert, Nancy Wpl van der Waarden, Arnoud Wj van 't Hof, Barbra E Backus

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The management of patients with suspected acute coronary syndrome, especially in prehospital settings, is challenging. This Special Report focuses on studies in emergency medical services concerning chest pain patients' triage and risk stratification. In addition, it emphasizes advancements in point-of-care cardiac troponin testing. These developments are compared with in-hospital guidelines, proposing an initial framework for a new acute care pathway. This pathway integrates a risk stratification tool with high-sensitivity cardiac troponin testing, aiming to deliver optimal care and collaboration within the acute care chain. It has the potential to contribute to a significant reduction in hospital referrals, reduce observation time and overcrowding at emergency departments and hospital admissions.
Original languageEnglish
Pages (from-to) 639–647
Number of pages9
JournalFuture Cardiology
Volume19
Issue number13
DOIs
Publication statusPublished - Oct 2023

Keywords

  • EMS
  • acute coronary syndrome
  • ambulance
  • chain of care
  • chest pain
  • point-of-care
  • prehospital
  • risk stratification
  • triage
  • troponin

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